Individual provider Active NPI

Martin Walder, D.C.

  • Chiropractor
  • Amherst, MA
National Provider Identifier
1629137237
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2034 Issued in MA
Practice address
228 Triangle St Ste 4
Amherst, MA 01002-2169
Phone
(413) 549-1500
NPI assigned
Dec 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2034 MA Primary

Addresses

Primary practice location

228 Triangle St Ste 4
Amherst, MA 01002-2169

Mailing address

228 Triangle Street
Ste 4
Amherst, MA 01002
Phone (413) 549-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060424000263 MA Practitioner - Chiropractic 4486664364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amherst Family Chiropractic PC 2 clinicians

Practice addresses (Care Compare)

228 Triangle St
Suite 4
Amherst, MA 01002-2169
Phone (413) 549-1500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2034MAMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Amherst Family Chiropractic PC CurrentSince Jun 24, 2017 Accepting new patients

Locations

228 Triangle St
Amherst, MA 01002
Phone (413) 549-1500

228 Triangle St
Ste 4
Amherst, MA 01002
Phone (413) 549-1500

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1629137237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 TRIANGLE STREET",
            "address_2": "STE 4",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "01002",
            "telephone_number": "413-549-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 TRIANGLE ST STE 4",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010022169",
            "telephone_number": "413-549-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDER",
        "first_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.